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ಮುಖಪುಟ / ಸಂಪುಟಗಳು / ಟ್ಯಾಗ್ long term care policy 6
ADAPT (755)
TITLE: Clinton, disability rights advocates reach accord on attendant services by Gary Bosworth, special to Access USA News Photo (possibly by Gary Bosworth): A line of ADAPT protesters, mostly in wheelchairs are chanting on the sidewalk outside a large stone building. Quinn Brisben and Ken Heard are at one end and Bob Kafka at the other. You can see barricades behind them. Caption reads: Members of ADAPT protest in front of the Marriot in San Francisco during the annual convention of the nursing home lobby, American Health Care Association. [This article continues on ADAPT 754 but the entire text is included here for easier reading. There is a statement by Gov. Clinton after this article.] On Monday, October 19, the Clinton/Gore campaign released a policy statement that forcefully supports attendant services for persons with disabilities instead of institutionalization The agreement worked out was the culmination of more than a month's negotiation between the Clinton/Gore campaign and the disability rights group ADAPT. In September, ADAPT contacted both the Bush/Quayle and the Clinton/Gore campaigns about the issue of attendant services. Both campaigns were asked to issue policy statements supporting independence for persons with disabilities through attendant services. A mid-October deadline for the statement was given because ADAPT was going to be In San Francisco for a national action at the site of the annual convention for the nursing home lobby, American Health Care Association (AHCA). While the Bush/Quayle campaign ignored the request, Clinton/Gore worked on a statement that was faxed to ADAPT as they were arriving in San Francisco on October 17. The Clinton/Gore statement went a long way to addressing the needs of attendant services, but was still missing the fact that a major crux of the problem had to with the bias in how federal regulations favor more expensive nursing home care instead of less expensive, more efficient attendant services Without the additional language, ADAPT went ahead with its planned non-violent protest march on Monday, October 19. Over 400 persons with disabilities marched in two `groups`, targeting the headquarters of Bush/Quayle and Clinton/Gore simultaneously. In response, the Bush/Quayle headquarters not only blocked off all wheelchair access to their headquarters, they also installed barricades blockading the entrances outside manned by platoons of police, Over at the Clinton/Gore headquarters no barricades were erected as more than 100 persons in wheelchairs from twenty states occupied every nook and cranny of the headquarters, leaving several dozen protesters lined up outside as police looked on without barricades After several hours of the occupation, an updated version of the earlier statement was faxed directly to ADAPT at the protest, from the Clinton/Gore national headquarters. The new revised statement was read to the assembled crowd of wheelchair warriors by Clinton’s director on national disability policy, Bobby Simpson. The final proposal is a far-ranging progressive document that: (1) persons with disabilities must be given the right to choose consumer-driven, community-based attendant services versus institutionalization, (2) employment as attendants by young women and men will be encouraged as an option under the National Service Trust Fund service to their community, (3) appointing a task force that will submit a reform package within the first 100 days of the Clinton Administration to overhaul federal regulations to remove their overwhelming institutionalization bias and instead propose regulations to make attendant services more available, and (4) the task force will include members with disabilities from prominent disability rights `groups` such as ADAPT. With this victory, the occupation was called a success by both the peaceful protesters in their wheelchairs and the workers of the Clinton/Gore campaign. That was in sharp contrast to the mood at the Bush/Quayle headquarters where the republican campaign refused to negotiate and instead issued a statement that the efforts by ADAPT were 'counter-productive' and 'a disservice to the disabled'. The next day, the mood changed again when California’s budget cuts in the state SSI/SSP of 16 1/2percent and attendant services of 12 percent were the subject of the action. The two sites targeted were the federal building and the state building in San Francisco. The police were caught off guard being stationed only at the state building. The federal protective service in charge of the federal building wasn't ready either. What followed was a declaration by ADAPT that the federal building was being turned into a nursing home for the day with all access in and out shut down. Police responded with mass arrests of 49 protesters in the plaza in front of the federal building as the protesters linked arms and wheelchairs together. The remainder of the group then continued on to the state building. Police had removed troops from the state building to go to the federal building. No arrests occurred at the state building as the group chanted and passed out fliers to passers-by. The 49 arrested were held for the day, ticketed, and released down at pier 38, which the police turned into a huge booking and holding facility. On the final planned day of protests, Wednesday, the AMCA convention hotel was the site of the dally protest. Police arrested 114 persons that day when the driveways and streets in front of the Marriott hotel were blocked by people using wheelchairs. It took hours to transport those arrested back down the pier. This prompted Mike Auberger of ADAPT to comment, "If I knew I would be spending so much time here I would have brought my fishing pole.” When released, the group marched in formation backto their own hotel for a night of celebration. It was a long week of work done getting the message out to the general public about the issue of attendant services as a basic civil rights issue. Among the celebrations held Wednesday night was a special wedding ceremony of two ADAPT protesters from Philadelphia and a musical concert put on by performers with disabilities that lasted into the wee hours. By all accounts, the week was a success. Even the police mentioned several times they were totally unprepared for the dedication and training of ADAPT members during the action to the point of admiration that the protesters never lost sight of why they were there - to expose the inhumanity of locking up persons with disabilities into nursing homes, when attendant services are less expensive, more humane, and let individuals retain their civil rights. the end TITLE: Statement of Governor Clinton on Personal Assistance Services I support efforts to make affordable personal assistance services available to Americans with disabilities. We must ensure that all people have the opportunity to live independent lives. People who have disabilities and have a need for personal assistance services should have maximum control over the care they receive. Personal assistance serves must be consumer driven- they must be met by the needs and desires of the user, not the dictates of the supplier. I believe that personal assistance services are of the utmost importance. I understand that every person has different needs. For this reason, I believe that every person has the right to personal assistance services. I believe that personal assistance services should be provided by a wide range of qualified individuals. In my proposal for a National Service Trust Fund, I have suggested that young men and women who go to college can pay for their education by spending two years working in jobs which serve our community - teaching our children, policing our streets, rebuilding our infrastructure. Employment in personal assistance services should be an option in this program, and I hope thousands of men and women choose it. This is only one of many ways in which we can expand the scope of available services. Personal assistance services should be a part of any comprehensive health care reform plan. For this reason, I intend to appoint a task force, including individuals with disabilities, on the role of personal assistance services and long term care in health care reform. Among other things, this task force should examine the role of federal regulations and funding which creates a presumption in favor of institutionalized care over home and community-based services. I have promised to submit a reform package to Congress in the first 100 days of my Administration. The task force will submit recommendations on reform in that time period. It is time for America to realize that silence on issues of concern to people with disabilities is as damaging as prejudice. As President, I will work with individuals with disabilities to empower people to live independently, I will bring people together and make this plan a reality.
ADAPT (753)
TITLE: Statement of Governor Clinton on Personal Assistance Services October 16, 1992 I support efforts to make affordable personal assistance services available to Americans with disabilities. We must ensure that all people have the opportunity to live independent lives. People who have disabilities and have a need for personal assistance services should have maximum control over the care they receive. Personal assistance serves must be consumer driven- they must be met by the needs and desires of the user, not the dictates of the supplier. I believe that personal assistance services are of the utmost importance. I understand that every person has different needs. For this reason, I believe that every person has the right to personal assistance services. I believe that personal assistance services should be provided by a wide range of qualified individuals. In my proposal for a National Service Trust Fund, I have suggested that young men and women who go to college can pay for their education by spending two years working in jobs which serve our community - teaching our children, policing our streets, rebuilding our infrastructure. Employment in personal assistance services should be an option in this program, and I hope thousands of men and women choose it. This is only one of many ways in which we can expand the scope of available services. Personal assistance services should be a part of any comprehensive health care reform plan. For this reason, I intend to appoint a task force, including individuals with disabilities, on the role of personal assistance services and long term care in health care reform. Among other things, this task force should examine the role of federal regulations and funding which creates a presumption in favor of institutionalized care over home and community-based services. I have promised to submit a reform package to Congress in the first 100 days of my Administration. The task force will submit recommendations on reform in that time period. It is time for America to realize that silence on issues of concern to people with disabilities is as damaging as prejudice. As President, I will work with individuals with disabilities to empower people to live independently, I will bring people together and make this plan a reality.
ADAPT (688)
[This clipping has 2 articles in it. Article 2 starts in the left top column. Article 1 continued from ADAPT 691 and the text of that article in included with ADAPT 691 for easier reading.] ARTICLE 2 Title: Health care activism on the rise Title: Special-interest patient `groups` are multiplying while the amount of money available is decreasing. By Delthia Ricks, of the Sentinel staff The dilemmas of increasing numbers of special-interest patient `groups` and a decreasing supply of health care dollars are spawning a growing militant movement in medical care. The opening of the American Health Care Association’s annual meeting in Orlando has drawn a spotlight to the activism increasingly associated with national health care issues. From AIDS to breast cancer to rare diseases, patients are organizing and resorting to demonstrations and protests — often violent ones — to express their views. Members of ADAPT — American Disabled for Attendant Programs Today — have formed human barricades, chained themselves by the neck to buildings, tacked up posters against the Health and Human Services secretary, and hurled themselves from wheelchairs. The group stages many of these demonstrations at AHCA's meetings, which ADAPT routinely follows around the country. The non-profit AHCA, headquartered in Washington, is a key lobbying organization for nursing homes and other long-term health care facilities, representing about 10,000 of them nationwide. At issue for both `groups` is the way the federal government spends it health care money. Nursing home executives would like to see long-term health care policies reformed. ADAPT members want a share of the federal dollars going to nursing homes now. “They're not looking at the real issue, which is long-term health care financing," Linda Keegan, an AHCA vice president said of ADAPT. “One of the biggest issues we face today is long-term health care financing reform." Among the issues her organization will address throughout the week will be ways in which the government can devise a long-term health care policy and meet the needs of elderly and disabled Americans, she said. But ADAPT's members see billions of dollars currently flowing into long-term health care facilities and would like to have 25 percent. This way, they say, the disabled would be kept out of special care homes and living independently. ADAPT sees using money allocated through the state and federally administered Medicaid program for in-home health care aides. The aides would be paid to cook, drive and do chores for people who are blind, have lost the use of their limbs, or suffer other disabilities. “The issue is the right to independent living," said Ida Unsain, director of home health care at ADAPT‘s Denver headquarters. “People with disabilities are being admitted into care homes. Some of these individuals don't belong there and could be taken care of through home health. The current structure of reimbursement is slated toward care home industries, and what ADAPT is stating is that a percentage of that budget be allocated to states for independent care for the disabled." In 1989, the most recent year federal figures are available, the federal govemment paid $23 billion in nursing home costs through the Medicaid system. Another $23 billion was paid by a combination of family assets, Veterans Administration benefits and private insurance to meet additional nuising home costs. In Florida, nearly $850 million is paid to nursing homes from a Medicaid budget of about $4 billion, By 2020, federal officials estimate Washington's contribution to nursing homes will be $100 billion if the nation maintains the current Medicaid payment system. Lack of a long-term health care policy that will carry the nation into the 21st century has been as big a problem for established `groups`, such the AHCA, as it has been for patients. President Bush repeatedly has said that a long-term health care policy is an administration goal, but a plan that meets the needs of both the elderly and disabled has yet to be approved. ADAPT's Unsain said her group does not want to wait for the administration to produce a new long-term health care policy. Money may not be allocated for them in a new health-care pie, she said, and that's why ADAPT members are seeking money now. “The violence is part of the outcome," Unsain said. “lt's what happens when we try to express our views. It's not what we're all about." She attributes passage of last year's federal Disability Act mandating increased access for the disabled on public transportation systems, and in buildings, to ADAPT's militancy throughout the 1980s. Keegan of the nursing home association said ADAPT members, who stage protests every time the AHCA meets, are not concerned about changing the way the government finances long-term care. “I think the reason they follow us is because they are looking for attention, and the method they've chosen to got mention is confrontation and disruption.“ she said.
ADAPT (684)
The Orlando Sentinel, Thursday October 10, 1991 the best newspaper in Florida PHOTO by Phelan M Ebenhack/Sentinel: Three people (left to right: Frank Lozano, Bunnie Andrews? and Sue Davis) are standing in front of a wall. On the wall a cross with "Nursing Homes Kill" written on it is partially visable, as is the ADAPT flag (an American Flag with the stars arranged to form the wheelchair/access logo). The three are lifting up an old fashioned folding E & J manual wheelchair to hang it on the cross. Frank, who is blind and wears a headband and T-shirt with ADAPT on them, has his hand raised. Caption reads: Frank Lozano and Bunnie Andrews, both of Colorado Springs, and Sue Davis of Louisville, Ky., chain a wheelchair to a cross marked ‘Nursing Homes Kill.‘ Title: Disabled saw their message on many faces by Sharon McBreen of the Sentinel Staff Protesters say they made their message clear this week after 250 activists in wheelchairs converged on Orlando. “It’s almost as though they never felt it before we've gotten in their faces,” Diane Coleman said. “You can feel the impact of that. You can see it in their eyes." The members of ADAPT — Americans Disabled for Attendant Programs Today — carried a message to the American Health Care Association, which attracted 3,500 delegates to a convention this week at the Peabody Hotel. ADAPT membels want an alternative to nursing home care. And they want to live at home. During the convention, which ends today, ADAPT members tried to block the Peabody’s doors with their bodies and wheelchairs. Police arrested 75 protesters on trespassing charges. The group wants a fourth of the $23 billion Medicaid spends on nursing homes and other institutions transferred to at-home care. “We need to reach the `rank`-and-file members of AHCA and the American public," Coleman of Tennessee said at a Wednesday news conference. At least one convention delegate said he wanted to hear more, she said. Nursing home association representatives have asked ADAPT members to meet with them. But what the activists really want is a national policy giving the disabled a choice, said Mark Johnson of Atlanta. Johnson said the nursing home industry doesn't want to allow the disabled to live at home, because it would lose out on the Medicaid money they receive. Wednesday night's news conference had to be moved from the front of the Orange County Convention and Civic Center to a room in the Clarion Plaza Hotel because police threatened to arrest them, one of the organizers said. Orange County sheriff's spokesman Doug Sarubbi denied that. He said an agreement reached with the judge who released the protesters from jail prohibited them from trespassing on Peabody Hotel property. Sarubbi said the Sheriff's Office was tabulating the time and money — estimated at least $100,000 —- it spent on the protest.
ADAPT (674)
New York Times, National, Thursday October 10.1991 Title: Militant Advocates for Disabled Revel in Their Roles as Agitators by Steven A. Holmes, special to the New York Times [compare with ADAPT 673] Boxed text: Forcefully trying to change images of the nation’s disabled. ORLANDO, Fla., Oct. 6 — The melee‘ at a meeting of nursing home representatives here was, in many ways, a typical for the demonstrators: After smashing their wheelchairs into police barricades and blocking a hotel entrance, 73 of them were arrested, creatmg front page headlines and a successful day's work for Adapt, the militant advocacy group for the disabled. The aim of the action today at the Peabody Hotel in this resort city was to focus attention on the organization's call to divert Federal money from nursing homes to a form of in-home care. But the means the group uses, like Sunday's chaotic demonstration, have often exasperated its allies as much as its adversaries. But even those who criticize Adapt acknowledge that the searing images of people with physical limitations engaging in civil disobedience often succeed in shattering stereotypes of how meek and pliant “cripples” are supposed to act, stereotypes often held by many disabled people themselves. “Adapt is about the issue," said Mary Johnson, editor of the Disability Rag, a weekly magazine that is devoted to disability issues. “But it is also about showing you that though you are disabled you have power already. For people who feel they don't have any power, who are often dependent, that is such a liberation." The Denver-based group's style has drawn its share of criticism from other advocates for the disabled. These critics note that the group played little part in the negotiations that led to the passage of the Americans with Disabilities Act and that their methods had often antagonized allies in the stniggle. “I think they do get attention," said a Washington-based disabled advocate who asked not to be identified. “But that's true when they are playing to an audience that is not politically sawy. For people out in Middle America, sitting in front of the TV, seeing people in wheelchairs demonstrating is something new. But to folks in Washington who are used to sit-ins, it's passe." [Subheading] An Effective Weapon But leaders of Adapt, which originally stood for Americans Disabled for Accessible Public Transportation, say it is `groups` like theirs that push others to press forcefully ior expanded rights for the disabled. “l think that even for the people with disabilities who don't participate directly in Adapt, we give them heart," said Diane Coleman, an Adapt organizer from Tennessee. And even those who sometimes criticize Adapt acknowledge that it is an eiiective weapon. lt is a role Adapt readily takes on. "We make all the other `groups` seem real rational," said Mike Auberger, one of Adapt’s founders. The group was begun in I983 in Denver by people who worked to persuade the city to make all local buses accessible to people in wheelchairs. Over the next few years they held protests over the issue of accessible public transportation in Cincinnati, St. Louis, Phoenix; Detroit and Atlanta. In addition to picketing, the protesters often would lock their wheelchairs together in front of city buses or chain themselves to a bus’s bumper. Early on, Adapt made a prime target the American Public Transit Association, a group representing mass transit systems. The protesters disrupted meetings and harassed officials of the group. “You have to have a bad guy in political organizing, somebody you can go after," said Mr. Auberger. These days that role is filled by the nursing home industry and Louis W. Sullivan, Secretary of Health and Human Services. After Congress passed the Americans with Disabilities Act last year, requiring that all new buses be equipped with hydraulic lifts for people in wheelchairs, Adapt began protesting for Federal subsidies for personal attendants, individuals hired by those with physical impairments to help them with basic everyday needs. Adapt wants 25 percent of the more than $20 billion paid to nursing home operators under the Medicaid program to be diverted from nursing homes to help the disabled pay for personal attendants. Though many mainstream proponents of help for the disabled have endorsed the goal of government subsidies for attendants, the diversion of funds sought by Adapt is opposed by the American Health Care Association, the trade group for nursing homes, and by the Bush Administration. As a result, Adapt has spent the last few months harassing the nursing home association and “Mr. Sullivan. This spring they blocked his car during a visit to Chicago and heckled him in a speech in Washington. in August, a handful of Adapt members rolled their wheelchairs along side Mr. Sullivan and harangued him as he took part in a fitness walk on Martha's Vineyard. Whether such methods will achieve Adapt‘s stated goals is uncertain. But leaders of the group say that when they first began to put pressure on the public transportation industry, no one felt their methods would bear fruit. "You have to give complete and utter credit for that to Adapt," said Evan Kemp, Jr., the head of e Equal Employment Opportunity Commission.
ADAPT (673)
Times Herald Record, Friday October 11, 1991 p. 36 Title: Heros for the handicapped? Militant group for disabled revels in its role of agitator The New York Times [compare with ADAPT 674 - the NYT clipping] ORLANDO. Fla. — The melee at a meeting of nursing home representatives here was in many ways a typical demonstration by members of Adapt. After smashing their wheelchairs into police barricades and blocking a hotel entrance, 73 members were arrested, creating front page headlines and a successful day’s work for the militant advocacy group for the disabled. The aim of the action last Sunday at the Peabody Hotel in this resort city was to locus attention on the organization's call to divert federal funds from nursing homes in a form of in-home care. But the means the group uses, like Sunday’s chaotic demonstration, has exasperated its allies often as much its adversaries. But even those who criticize Adapt acknowledge that the searing image of people with physical limitations engaging in civil disobedience often succeed in shattering stereo-types of how meek and pliant "cripples" are supposed to act - stereotypes often held by many disabled people themselves. “Adapt is about the issue," said Mary Johnson, editor of the Disability Rag, a weekly magazine that is devoted to disability issues. "But it is also about showing you that though you are disabled you have power already. For people who feel they don't have any power, who are often dependent, that is such a liberation." [Subheading] Antagonizing allies The Denver-based group’s style has drawn its share of criticism from other advocates for the disabled. These critics note that the group played little part in the negotiations thai led to the passage of the Americans with Disabilities Act and that their methods have often antagonized allies in the struggle. “l think they do get attention," said a Washington-based disabled advocate who asked not to be identified. "But that‘s true when they are playing to an audience that is not politically savy. For people out in Middle America, sitting in front of the TV, seeing people in wheelchairs demonstrating is something new. But to folks in Washington who are used to sit-ins, it's passe." Leaders of Adapt, which originally stood for Americans Disabled for Accessible Public Transportation, say it is `groups` like theirs that push others to press forcefully for expanded rights for the disabled. “I think that even for the people with disabilities who don't participate directly in Adapt, we give them heart," said Diane Coleman, an Adapt organizer from Tennessee. And even those who sometimes criticize Adapt acknowledge that it is an effective weapon. It is a role Adapt readily takes on. “We make all the other `groups` seem real rational," said Mike Auberger, one of Adapt's founders and advocate who helped persuade the city to make all local buses accessible to people in wheelchairs. [Subheading] Drastic means to a questionable end Over the next few years they held protests over the issue of accessible public transportation in Cincinnati, ST Louis, Phoenix, Detroit and Atlanta. In addition to picketing, the protesters often would lock their wheelchairs together in front of city buses or chain themselves to a bus's bumper. Early on, Adapt made a prime target the American Public Transit Association, a group representing mass transit systems. The disabled advocates disrupted meetings and harassed officials of the group. "You have to have a bad guy in political organizing, somebody you can go after," said Auberger. These days that role is filled by the nursing home industry and Louis W. Sullivan, secretary of Health and Human Services. After Congress passed the Americans with Disabilities Act last year, requiring that all new buses be equipped with hydraulic lifts for people in wheelchairs, Adapt began protesting for federal subsidies for personal attendants, individuals hired by those with physical impairments to help them with basic everyday needs. Adapt wants 25 percent of the more than $20 billion paid to nursing home operators under the Medicaid program to he diverted from nursing homes to help the disabled pay for personal attendants. Though many mainstream advocates for the disabled have endorsed the goal of government subsidies for attendants, the diversion of funds sought by Adapt is opposed by the American Health Care Association, the trade group for nursing homes, and by the Bush administration. As a result, Adapt has spent the last few months harassing the nursing home association and Sullivan. This spring they blocked his car during a visit to Chicago and heckled him during a speech in Washington. in August, a handful of Adapt members rolled their wheelchairs along side Sullivan and haranged him as he participated in a fitness walk on Martha's Vineyard. Whether such methods will achieve Adapt’s stated goals is uncertain. But leaders of the group say that when they first began to put pressure on the public transportation industry, no one felt their methods would bear fruit. "You have to give complete and utter credit for that to Adapt," said Evan Kemp. Jr., the head at the Equal Employment Opportunity Commission.